Individual
DR. JASON G VILLAVASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3550 GOVERNMENT ST, BATON ROUGE, LA 70806-5718
(225) 343-8878
Mailing address
3550 GOVERNMENT ST, BATON ROUGE, LA 70806-5718
(225) 343-8878
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017972
LA
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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